| NPI | 1417163643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI A GOUGEON Executive Director 704-536-6661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2010-06-08 |